Beyond DOTS (Directly Observed Treatment Short-Course) in tuberculosis' control: interfacing and sharing needs

Sánchez, Alba Idaly Muñoz; Bertolozzi, María Rita

doi:10.1590/s0104-11692009000500015

Cited by 17 publications

(13 citation statements)

References 6 publications

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“…In the encounter between health professionals and patients, DOTS could be an opportunity for the manifestation of subjectivities and to help patients with tuberculosis to recover their capabilities for life during regular consultations. At the same time, it allows identifying vulnerabilities and needs that can be dealt with, during the process so as to overcome them [270], which points to the need for actions within a multidisciplinary team, according to the biopsychosocial model of health and illness, where adherence is conceived as a process, not of imposition, but rather of exchange and meeting, one that uses the understanding of the context of patients' lives as a trigger to meet social and health needs [271]. …”

Section: Discussionmentioning

confidence: 99%

Psychiatric Morbidity and Other Factors Affecting Treatment Adherence in Pulmonary Tuberculosis Patients

Pachi

Bratis

Moussas

et al. 2013

Tuberculosis Research and Treatment

138

155

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As the overall prevalence of TB remains high among certain population groups, there is growing awareness of psychiatric comorbidity, especially depression and its role in the outcome of the disease. The paper attempts a holistic approach to the effects of psychiatric comorbidity to the natural history of tuberculosis. In order to investigate factors associated with medication nonadherence among patients suffering from tuberculosis, with emphasis on psychopathology as a major barrier to treatment adherence, we performed a systematic review of the literature on epidemiological data and past medical reviews from an historical perspective, followed by theoretical considerations upon the relationship between psychiatric disorders and tuberculosis. Studies reporting high prevalence rates of psychiatric comorbidity, especially depression, as well as specific psychological reactions and disease perceptions and reviews indicating psychiatric complications as adverse effects of anti-TB medication were included. In sum, data concerning factors affecting medication nonadherence among TB patients suggested that better management of comorbid conditions, especially depression, could improve the adherence rates, serving as a framework for the effective control of tuberculosis, but further studies are necessary to identify the optimal way to address such issues among these patients.

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Section: Discussionmentioning

confidence: 99%

Psychiatric Morbidity and Other Factors Affecting Treatment Adherence in Pulmonary Tuberculosis Patients

Pachi

Bratis

Moussas

et al. 2013

Tuberculosis Research and Treatment

138

155

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“…31 However, it continues to be challenging to apply for patients and healthcare services in many communities globally. 45-47 In settings where self-administration is the standard treatment delivery, other options to supervise, provide support and promote patient-provider relationships are needed and TextTB is such an intervention.…”

Section: Discussionmentioning

confidence: 99%

mHealth intervention development to support patients with active tuberculosis

et al. 2014

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Background Mobile Health (mHealth) based interventions have been increasingly used to improve a broad range of health outcomes. However, few researchers have reported on the process or the application of theory to guide the development of mHealth based interventions, or specifically for tuberculosis (TB) treatment management. Aims To describe the steps, process, and considerations in developing a text messaging-based intervention to promote treatment adherence and provide support to patients with active TB. Methods Traditional qualitative techniques, including semi-structured interviews, field notes, content analysis, iterative coding, and thematic analysis, were used to design and document the intervention development with a multidisciplinary team of researchers, clinicians, administrators, and patients who were in active TB treatment. The Information-Motivation-Behavioral Skills (IMB) model was used to guide the coding scheme for content analysis of patient-directed TB educational material and intervention development. Results The development steps included: a) establishing intervention components, including justifications, considerations, timing and frequency of components; b) developing educational messages, including cultural adaption, text or short message service (SMS) formatting, and prioritizing message delivery order; and c) determining implementation protocol. A set of 16 IMB-based messages were developed for the educational component. Final intervention development was achieved in 3 months. Conclusion A collaborative approach and application of a theory to guide the intervention design and development is supported. Although a collaborative approach was more time consuming, it resulted in a more responsive, culturally appropriate, and comprehensive intervention. Considerations for developing a text messaging based intervention are provided and may serve as a guide for similar interventions. Further empirical evidence is needed for applying the IMB model for adherence-promotion in TB efforts.

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“…When dependent on the spontaneous demand, the responsibility to seek the service is attributed to the patient, contributing not only to delay in the diagnosis of TB, but also to the underreporting of cases. Cultural factors inherent in this demand, for example, the concept of the health-disease process, beyond the historical legacy of the stigma that surrounds TB, are factors that may limit the demand for health services and contribute to noncompliance with TB treatment (8,16) .…”

Section: The Need For the Active Search For Cases Of Tb In The Indigementioning

confidence: 99%

“…Considering the findings involving TB already documented in this periodical (7)(8)(9)(10)(11) , this study brings a new contribution on the subject, given the paucity of The focus group is a research technique that allows qualitative data to be obtained from group sessions in which four to twelve people, who share a common trait, discuss various aspects of a specific theme, with the presence of a moderator and an observer (12) .…”

Section: Introductionmentioning

confidence: 99%

The Active Search for Respiratory Symptomatics for the Control of Tuberculosis in the Potiguara Indigenous Scenario, Paraiba, Brazil

Nóbrega

Nogueira

Netto

et al. 2010

Rev. Latino-Am. Enfermagem

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This study sought to analyze the actions of an active search for respiratory symptomatics (RSs) in the control of tuberculosis (TB) enfermagem e agentes indígenas de saúde. Utilizou-se a técnica de grupo focal como instrumento de coleta de dados, cujo tratamento fundamentou-se na técnica de análise de discurso. Evidenciaram-se debilidades de natureza operacional, relacionadas à organização do serviço de saúde local para a implantação de rotinas de diagnóstico para a TB: ausência de rotina sistematizada para a busca de SR, dificuldades na organização do material para exame bacteriológico, abordagem inadequada ao paciente, durante a coleta do escarro, e insuficiente capacitação profissional. Julga-se necessário melhorar a organização dos serviços para a detecção precoce dos casos de TB, no cenário indígena local.Descritores: Tuberculose; População Indígena; Serviços de Saúde.La búsqueda activa de sintomáticos respiratorios para el control de la tuberculosis en el escenario indígena Potiguara, estado de Paraíba, BrasilEste estudio analiza las acciones de la búsqueda activa de sintomáticos respiratorios (SR) para el control de la tuberculosis (TB) en el Distrito Sanitario Especial Indígena Potiguara, en Paraíba, Brasil, en el período de mayo a junio de 2007. Después de aprobado por el Comité de Ética en Investigación, fueron reunidos 23 profesionales, entre médicos, enfermeros, técnicos de enfermería y agentes indígenas de la salud. Se utilizó la técnica de grupo focal como instrumento de recolección de datos, cuyo tratamiento se fundamentó en la técnica de análisis de discurso. Se evidenciaron debilidades de naturaleza operacional, relacionadas a la organización del servicio de salud local para la implantación de rutinas de diagnóstico para la TB, que fueron: ausencia de una rutina sistematizada para la búsqueda de SR, dificultades en la organización del material para examen bacteriológico, abordaje inadecuado al paciente durante la recolección del esputo, e insuficiente capacitación profesional. Se juzga necesario mejorar la organización de los servicios para la detección precoz de los casos de TB en el escenario indígena local.

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Beyond DOTS (Directly Observed Treatment Short-Course) in tuberculosis' control: interfacing and sharing needs

Abstract: MÁS ALLÁ DEL DOTS (DIRECTLY OBSERVED TREATMENT SHORT-COURSE) EN EL CONTROL DE LA TUBERCULOSIS: MEDIO QUE PROMUEVE LA COMUNICACIÓN Y LA IDENTIFICACIÓN DE LAS NECESIDADES

Cited by 17 publications

References 6 publications

Psychiatric Morbidity and Other Factors Affecting Treatment Adherence in Pulmonary Tuberculosis Patients

Psychiatric Morbidity and Other Factors Affecting Treatment Adherence in Pulmonary Tuberculosis Patients

mHealth intervention development to support patients with active tuberculosis

The Active Search for Respiratory Symptomatics for the Control of Tuberculosis in the Potiguara Indigenous Scenario, Paraiba, Brazil

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